For independent private practices, not hospital-affiliated

Five practices.The full 90-Day Documentation Turnaround. Free.

The 90-Day Documentation Turnaround runs on ADPIE: we assess, diagnose, plan, intervene, and evaluate. It starts with two on-site days in the Las Vegas valley to see where the hours actually go and to agree in writing on the three workflows we will rebuild. Then we build those workflows with your team, run them in real clinic days, and re-measure the results together. Founding Five practices get 180 days instead of 90.

This is an application, not a booking. We review each practice for fit, and if you're selected we'll reach out to schedule. Applying doesn't reserve a spot.

Apply for the 90-Day Documentation Turnaround Or run the free time study (opens in a new tab)
Two minutes · no payment info · Vegas area only

The Founding Five application.

Every application goes to our founder. You'll hear from us within twenty-four hours. If you're a fit for the founding cohort, we'll get on a call. If you're not, we'll tell you what you are a fit for and point you to the resources that help most in the meantime.

The founding cohort

What being one of five actually means

Not clients. Not customers. Founding cohort practices, and the trade is written down.

What dX80 brings

The full engagement. An in-person clinic-day time study that finds where your hours actually go. A complete review of the technologies and workflows you actively use. A written diagnosis. Three workflows built around the tools you already run, staff trained on them, ninety days of follow-up optimization, then a re-measure.

What you keep

Everything, and none of it switches off. The workflows are built inside the systems you already own and pay for, so there is nothing hosted by us to lose. The templates, routing rules, prompts and checklists stay in your tools. Your written diagnosis, your baseline numbers and your day-90 re-measure are yours whatever you decide next. The recorder and the vendor account are in your name from the first day. The AI governance pack is written for your practice, for you to take to your own counsel. And your staff keep the training.

What you provide

Access, and a documented before and after. Your practice, your workflows, your staff, and willingness to participate in the measurement. Your time cost is a short intake before, a review call after, and a brief survey.

Your practice name stays private. What we may do with the data is defined in the founding-cohort agreement, and you buy the recorder, hold the account, and obtain patient consent yourself. That is the entire trade.

After you apply

A personal reply within twenty-four hours. Our founder reads every application, and the reply comes from her. If you are a fit for the founding cohort, we will get on a call. If you are not, we will tell you what you are a fit for, including what a standard engagement would cost your practice, and point you to the resources that help most in the meantime. You may also get a short series of emails from us about the work; you can unsubscribe from those at any time without affecting your application.

How long, and where

180 days, in person, Vegas area. The ninety-day Documentation Turnaround plus ninety days of follow-up optimization. Standard paid engagements are ninety days, so founding practices get double the runway. The observation day has to happen in the building, which is why the cohort is Vegas-area only.

What you still pay for

Your vendors, directly. Our work for the founding five is free. You still pay for any tools you choose to adopt, including the documentation recorder and any AI subscriptions. We earn nothing on any of it.

Safe to adopt

A written AI governance pack, built for your practice. Which tools are approved, who may use them for what, and what gets documented, drawn from what we actually found in your building and written for you to take to your own counsel.

56% of medical group practices have neither AI governance nor a written AI-use policy. Yours will.

Two days on site.A written diagnosis, not a proposal.

Day one watches. Day two asks. Never the same day, because interviewing your staff changes how they work, and that would make day one's numbers untrue. Nothing gets built until both days are done and the diagnosis is in writing.

The on-site assessment

    What ninety days actually looks like

    The two on-site days are the input, not the answer. We take what we measured and what we mapped, work out which workflows would move the most hours in your practice, and bring you a shortlist. You choose three. Those three become the scope, in writing, before anyone builds anything.

    Days 1–2On siteThe two days. We watch, then we ask.
    Week 1DiagnosisWe analyze what we found and put the diagnosis in writing.
    Week 2ScopeWe bring you the shortlist, you choose three, scope signed.
    Weeks 3–8Build and trainTemplates, routing rules, prompts and checklists configured in the tools you already own. Your scribe tuned. Staff trained.
    Weeks 9–13Run and re-measureThe workflows run on real volume, not a pilot patient or two. Edge cases fixed. The same time study run again at day 90.

    We don't promise a number of hours. We commit to staying until the three workflows are live and in regular use.

    If you're only thinking about sellingbecause of the work, start here.

    Two minutes. Vegas-area independent practices. Read personally by our founder.
    Apply for the 90-Day Documentation Turnaround Run the free time study (opens in a new tab) Questions first? Contact our founder